| NPI | 1104413210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYSHELL SCHRADER Billing Manager 303-412-6091 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-12-22 |
| Last Update Date | 2020-12-22 |